摘要
目的探索长沙市围绝经期妇女原发性骨质疏松症患病的影响因素,为围绝经期妇女保健提供依据。方法湖南省妇幼保健院接受体检的全市各单位围绝经期妇女,采用双能X线骨密度测定仪测定骨密度,对确诊为原发性骨质疏松症患者及非患者分别进行相关因素的调查。对所获资料进行χ2检验、单因素及多因素Logistic回归分析,探索城市围绝经期妇女原发性骨质疏松症的影响因素。结果单因素Logistic回归分析表明体重指数高是妇女原发性骨质疏松症的保护性因素,而年龄、怀孕次数、生育次数是妇女原发性骨质疏松症的危险因素。多因素Logistic回归分析表明,体重指数高是妇女原发性骨质疏松症的保护性因素,OR值为0.430,而年龄是妇女原发性骨质疏松症的危险因素,OR值为3.580。结论围绝经期妇女维持适当的体重有可能对骨量丢失有保护作用,并可能降低其骨质疏松症发病的危险。
Objective To explore the affecting factors of primary osteoporosis of perimenopausal women in Changsha, and to provide the evidence for health care of perimenopausal women. Methods Physical examination was conducted among the women of Changsha municipal public institutions in Hunan Provincial Hospital of Maternal and Child Health. Bone mineral density was measured by DEXA, and information was collected by face to- face interview. The data were arranged with X^2 test and multi- variables Logistic regression. A case control study was used to explore the influence factors between confirmed primary osteeporosis patients and non - patients. Results Both single variable and multi - variables logistic regression analyses showed that high body mass index was the protective factor （OR = 0. 430）, while age was a risk factor （OR = 3. 580） ; times of pregnancy and parturition were significant in single variable analysis, but not in multi- variables Logistic regression analysis. Conclusions Body mass index is an independent risk factor of primary osteoporosis of perimenopausal women. Maintaining suitable body weight could prevent the bone mass from loss and it may reduce the potential risk of osteoporosis.
出处
《实用预防医学》
CAS
2009年第2期469-471,共3页
Practical Preventive Medicine
